1. Case for small group discussion
Complex foot trauma
Case for small group discussion
AOTrauma—Foot & Ankle
Module 6: Soft-tissue trauma
Stefan Rammelt and Hans Zwipp, DE

2. Case description 24-year-old man Foot run over by a car
No sensation in the forefoot
No pulses

4. 1-year follow-up
2 cm shortening
Return to work within 4 months

5. Bellmann forefooot prosthesis

6. Take-home messages Criteria for acute amputation:
Dangerous (threatening infection)
Dead (severe circulatory compromise)
Denervated (useless, floppy, complete loss of sensation)
Dysfunctional (loss of muscles and tendons)
Loss of plantar tissue (irreplaceable)

7. Take-home messages Amputation is reconstructive surgery
Amputation is not a failure of treatment
Early decision making and communication is essential